Contract Details
A Physiotherapy Associates Company
Facility name
Physiotherapy Associates
Provider ID
P000008645
NPI
1780769604
Tax ID
382617193
Effective Date
2/17/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
4579 South Cobb Drive SE Suite 100
Smyrna, GA 30080
United States
County
Cobb
Phone
7704363665 (Phone)
Billing Details
Address
P.O. Box 844208
Boston, MA 02284
Billing Phone
8007471299
Specialty Type
Physical Therapy
Map
Address